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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science.html
September 01, 2020 - Multifactorial Context of Diagnostic Safety
Choosing Data Sources for Measurement
Learning From Known Incidents
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www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/team-checkup-tool.html
May 01, 2017 - the project’s goals.
4
All team members can list the number of days between incidents
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www.ahrq.gov/hai/cusp/toolkit/team-checkup.html
December 01, 2012 - project's goals.
4
All team members can list the number of days between incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/teamcheckup.doc
August 07, 2012 - communicate the project’s goals.
4
All team members can list the number of days between incidents
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www.ahrq.gov/teamstepps-program/evidence-base/anesthesiology.html
May 01, 2023 - Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2021.xlsx
January 01, 2021 - 27,425
NOTE: The No Harm Percentage and Harm Percentage cells are calculated as the percentage of all incidents … unassisted Percentage and Fall known to be assisted Percentage cells are calculated as the percentage of all incidents … experienced 53.9% 9,449 61,888
NOTE: The Percentage column is calculated as the percentage of all incidents
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2022.xlsx
January 01, 2022 - NOTE: The 'No Harm Percentage' and 'Harm Percentage' cells are calculated as the percentage of all incidents … unassisted Percentage and Fall known to be assisted Percentage cells are calculated as the percentage of all incidents … Unknown No injury 34.9% 9,358 88,288
NOTE: The Percentage column is calculated as the percentage of all incidents
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www.ahrq.gov/research/findings/studies/index.html?page=100
January 01, 2024 - Coordination
Magee LA , Ranney ML , Fortenberry JD Identifying nonfatal firearm assault incidents … Nonfatal firearm assault incidents are more prevalent than gun homicides, however, little is understood … about nonfatal firearm assault incidents due to a lack of accurate data in the United States. … This is a descriptive study of all nonfatal firearm assault incidents identified through police and clinical … Identifying nonfatal firearm assault incidents through linking police data and clinical records: cohort
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.pdf
April 09, 2025 - Definition of Resident Safety
In this survey, “resident safety” means preventing injuries, incidents … This nursing home makes changes to
prevent the same incidents from
happening again ...............
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.docx
April 24, 2025 - Definition of Resident Safety In this survey, “resident safety” means preventing injuries, incidents, … This nursing home makes changes to prevent the same incidents from happening again
☐ 1
☐ 2
☐ 3
☐
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
January 01, 2025 - safe, tell someone if
they see something that might harm a
resident, and talk about ways to keep
incidents … Feedback and Communication About
Incidents Average % Positive Response
When staff report something … (Item B4) 82%
In this nursing home, we talk about ways to keep
incidents from happening again. … Feedback and Communication About Incidents 83% 10.47% 49% 68% 76% 84% 90% 96% 100%
2. … Feedback and Communication About Incidents % Always/Most of the time
When staff report something
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www.ahrq.gov/npsd/data/chartbook/index.html
February 01, 2025 - blood products, falls, devices and medical/surgical supply, medication and other substances, perinatal incidents
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www.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-checkup-tool.docx
May 01, 2017 - communicate the project’s goals.
4
All team members can list the number of days between incidents
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2019.xlsx
January 01, 2019 - NOTE: The 'No Harm Percentage' and 'Harm Percentage' cells are calculated as the percentage of all incidents
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/02-pfe-road-map.pdf
August 01, 2021 - Prepare Your Organization
Orient leaders to the change Toolkit Infographic provides statistics about incidents
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www.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
March 01, 2023 - These violent incidents have been common in the United States, but we must not accept them as such.
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www.ahrq.gov/teamstepps/evidence-base/anesthesiology.html
July 01, 2015 - Anesthesia crisis resource management training: Teaching anesthesiologists to handle critical incidents
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www.ahrq.gov/research/shuttered/acfselection/chapter4.html
July 01, 2018 - In the case of small incidents, one person may be able to perform multiple functions. … Incidents can, for example, include major disasters, emergencies, terrorist attacks, terrorist threats … integrated organizational structure that reflects the complexity and demands of single or multiple incidents … It is used for all kinds of emergencies and is applicable to small as well as large and complex incidents … Mitigation measures are often informed by lessons learned from prior incidents.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - and report
Advances in Patient Safety: Vol. 3
136
information on negative health outcomes and incidents … New York State Public Health Law 2805-l12 requires
hospitals to report and investigate incidents of … The objective of the public health law and the
regulations is to ensure that incidents are identified … of the reporting process
- Determine if incident reporting works with QA
- Improve the models of incidents … The statute further requires an investigation of a subset of these
incidents to discern their root causes